Academics Shock Stroke 
RebelEM
SEPTEMBER 14, 2023
Background: Cardiogenic shock develops in up to 10% of patients with acute myocardial infarction (AMI) and carries a 30 day mortality rate around 50%. bleeding, stroke, limb ischemia, and hemolysis). Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. The evidence for this practice has been sparse until now.
Pediatric EM Morsels
JULY 21, 2023
Academic emergency medicine 12.9 Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. Fun fact for animal lovers!- cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! Acad Emerg Med.
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Dr. Smith's ECG Blog
MAY 30, 2023
A 50-something man presented in shock with severe chest pain. The patient was in clinical shock with a lactate of 8. We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. RVMI explains part of the shock.
Taming the SRU
JULY 24, 2024
National campaigns to improve sepsis care, namely the Centers for Medicare and Medicaid Services’ introduction of “Severe Sepsis and Septic Shock Early Management Bundle”, have faced many challenges in physician and provider adherence. Sepsis as a disease process has been difficult to both clearly define and quickly recognize.
Taming the SRU
APRIL 17, 2024
3) Methods This study was a retrospective observational study at a single academic tertiary care facility in their medical intensive care unit (MICU). Surviving sepsis campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. 53286 measurement pairs were recorded with a median of 13 measurements per patient.
Sensible Medicine
SEPTEMBER 23, 2024
The rate of the composite primary outcome of CV death, MI, unstable angina, stroke or transient attack was 4.29% with asa vs 4.48% with placebo. Update on Sensible Medicine: Vinay, Adam and I remain shocked at the success of this newsletter. The six-year trial was not stopped. We remain an advertisement-free site.
RebelEM
JUNE 8, 2023
They can be associated with side effects such as reflex bradycardia, decreased stroke volume in phenylephrine, tachycardia and hypertension associated with epinephrine. Nontraumatic hypotension and shock in the emergency department and the prehospital setting, prevalence, etiology, and mortality: a systematic review. 2006;130(4):941–6.
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